Denice Mock, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9266-123 Issued in WI

Practice address

93 W Geneva St
Williams Bay, WI 53191-9562

Phone

(262) 607-6390

Fax

(262) 627-6387

NPI assigned

Dec 19, 2012

Last updated

Sep 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

C.a. Counseling and Consultants, LLCGroup PAC ID 9032424486, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• C.a. Counseling & Consultants, LLC.

  • Clinical Social Worker
  • Williams Bay, WI
  • NPI 1548652241
  Medicare reassignment Care Compare group NPD
• A Promise for Parents

  • Clinical Social Worker
  • Dekalb, IL
  • NPI 1639623044
  Authorized official Same address or phone
• Parents With Promise LLC

  • Community/Behavioral Health Agency
  • Dekalb, IL
  • NPI 1922370527
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1275879223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 S 4TH ST",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601154410",
            "telephone_number": "815-758-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 W GENEVA ST",
            "city": "WILLIAMS BAY",
            "state": "WI",
            "postal_code": "531919562",
            "telephone_number": "262-607-6390",
            "fax_number": "262-627-6387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOCK",
        "first_name": "DENICE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-19",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.013457",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "9266-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kingme Inc
• Laura L. Kleber, OT
• Sue McConnell, APSW
• Victoria McHugh, APSW
• Denise Millet, MS, LPC, LMFT-IT
• Murison Sports Medicine and Rehabilitation, LLC
• National Birth Centers, Inc.
• Northland Neurology S.C.
• NSH Williams Bay LLC (Williams Bay Health Services)
• NSH Williams Bay-Sherwood LLC (Sherwood Lodge Assisted Living)

• Clinical Social Worker in Williams Bay, WI
• Providers in Williams Bay, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.